Provider Demographics
NPI:1528388659
Name:HOOKS, RYAN MATTHEW (DDS)
Entity Type:Individual
Prefix:
First Name:RYAN
Middle Name:MATTHEW
Last Name:HOOKS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3975 HIGHWAY 6 S
Mailing Address - Street 2:#1200
Mailing Address - City:COLLEGE STATION
Mailing Address - State:TX
Mailing Address - Zip Code:77845-5895
Mailing Address - Country:US
Mailing Address - Phone:979-694-1200
Mailing Address - Fax:866-847-0096
Practice Address - Street 1:3975 HIGHWAY 6 S
Practice Address - Street 2:#1200
Practice Address - City:COLLEGE STATION
Practice Address - State:TX
Practice Address - Zip Code:77845-5895
Practice Address - Country:US
Practice Address - Phone:979-694-1200
Practice Address - Fax:866-847-0096
Is Sole Proprietor?:No
Enumeration Date:2010-06-11
Last Update Date:2011-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX246521223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice